DAVITA OF NEW YORK INC (NPI# 1265697692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265697692 |
| Entity Type | Organization |
| Organization Name | DAVITA OF NEW YORK INC |
| Other Organization Name | MEDFORD KIDNEY CENTER |
| Practice Address |
1725 N Ocean Ave Medford NY 11763-2649 |
| Mailing Address |
5200 Virginia Way Ste 400 L&c Brentwood TN 37027-7569 |
| Practice Telephone | 6312898000 |
| Practice Fax Number | 6312898079 |
| Mailing Telephone | 6153204521 |
| Mailing Fax Number | 8665942894 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | JIM HILGER (VICE PRESIDENT) |
| Authorized Official Telephone | 2533821919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medford Kidney Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982869285 | Davita of New York Inc | Clinic/Center | 1 Locust Ln, Syosset, NY 11791-4834 | 2008-07-25 |
| 1073778379 | Davita of New York Inc | Clinic/Center | 1305 Utica Ave, Brooklyn, NY 11203-5911 | 2008-07-25 |
| 1992960454 | Davita of New York Inc | Clinic/Center | 60 Haven Ave, New York, NY 10032-2604 | 2008-07-24 |
| 1265697643 | Davita of New York Inc | Clinic/Center | 267 W Merrick Rd, Freeport, NY 11520-3346 | 2008-07-24 |
| 1760647150 | Davita of New York Inc | Clinic/Center | 201 Dates Dr, Ste 206, Ithaca, NY 14850-1345 | 2008-07-24 |
| 1679738231 | Davita of New York Inc | Clinic/Center | 256 Broadway, Huntington Station, NY 11746-1403 | 2008-07-23 |
| Street Address |
1725 N OCEAN AVE |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487682134 | Huntington Artificial Kidney Center Ltd | Clinic/Center | 1725 N Ocean Ave, Medford, NY 11763-2649 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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|---|---|---|---|---|
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| 1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
| 1447269154 | Bio-medical Applications of Massachusetts Inc | Clinic/Center | 305 Mystic Ave, Medford, MA 02155-6313 | 2006-08-05 |
| 1487682134 | Huntington Artificial Kidney Center Ltd | Clinic/Center | 1725 N Ocean Ave, Medford, NY 11763-2649 | 2006-06-30 |
| 1891754883 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 10 Cabot Rd, Ste 103b, Medford, MA 02155-5275 | 2006-03-20 |
| 1306077680 | Star Dialysis LLC | Clinic/Center | 760 Golf View Dr, Unit 100, Medford, OR 97504-9685 | 2009-08-04 |
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| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.